aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    The Management of Persistent Pain in Older Persons

    aimeee replied to Dave ARNP's topic in Pain Management

    Perhaps she really IS in pain all the time even though she is getting "everything in the book" because they haven't actually prescribed a medication regimen that is effective for her pain. As an aide...
  2. aimeee

    will be new to hospice

    aimeee replied to steth's topic in Hospice, Palliative

    Welcome, steth, and good luck to you in your new job! I am sure you will find it very rewarding. We'll be here for
  3. aimeee

    special offer...

    aimeee posted a topic in Hospice, Palliative

    In honor of National Hospice Month, you can view and print the articles from the Journal of Palliative Medicine at no charge. Normally you need an online subscription or a paper subscription to...
  4. aimeee

    Isn't pain whatever the patient says it is???

    aimeee replied to momcats3's topic in Pain Management

    My thoughts exactly! One of the big frustrations working with facility staff is acheiving consistency in documenting response to the regimen and in actually following a regimen if prn meds are...
  5. aimeee

    Comfort measures??? (RE:Convalescing Home)

    aimeee replied to mandykal's topic in Hospice, Palliative

    I'll copy an opinion from another page: http://www.rcjournal.com/contents/12.00/12.00.1534.asp That pretty much sums up my perspective. Positioning and something like scopalamine, hyoscyamine, or...
  6. aimeee

    Two Extended-Release Morphine Sulfate Formulations for Cancer Pain

    aimeee replied to Dave ARNP's topic in Pain Management

    Gee, that surprises me. I still have a copy of a slide from a presentation I went to by a Pharm D that showed opioid cost comparison. The data is taken from the average wholesale price in 2001 and...
  7. aimeee

    shared case management

    aimeee replied to basil's topic in Hospice, Palliative

    During periods of high census we have had to assign a case load to our part-time nurses. The regular part-time becomes the case manager then and visits at least once a week and other visits are done...
  8. aimeee

    Two Extended-Release Morphine Sulfate Formulations for Cancer Pain

    aimeee replied to Dave ARNP's topic in Pain Management

    Off the subject, but why don't we see the same problems with abuse of MS-Contin and Kadian that we do with
  9. aimeee

    Going into hospice

    aimeee replied to burger914's topic in Hospice, Palliative

    Good luck,
  10. aimeee

    Is there something comparable to Toradol that can be given IV for pain?

    aimeee replied to bellehill's topic in Pain Management

    I assumed it was because so MANY people have nausea as a side effect of the narcotics, particularly if they are unaccustomed to
  11. aimeee

    POLL: Do you think cancer pain is properly managed?

    aimeee replied to Dave ARNP's topic in Pain Management

    It was difficult to chose the answer I wanted because of the wording. Pain management varies quite a bit from doc to doc. Some are excellent pain managers and some are awful. Some are very...
  12. aimeee

    Mandation

    aimeee replied to Serenity USVI's topic in General Nursing

    Sorry, I am not familiar with this. Anybody
  13. aimeee

    Schedule Change for Hydrocodone

    aimeee replied to Dave ARNP's topic in Pain Management

    Now that I know that the narcotic portion can be separated from the APAP, this all makes more sense. I had no idea that was
  14. aimeee

    Schedule Change for Hydrocodone

    aimeee replied to Dave ARNP's topic in Pain Management

    I second that question. What is a legend
  15. aimeee

    Weekend and evening admissions?

    aimeee posted a topic in Hospice, Palliative

    I'm just curious what other's do. Do you do weekend and evening admissions on a regular basis? If you do, does your oncall nurse do it? And what kind of a census population is the oncall nurse...
  16. aimeee

    What should I do????

    aimeee replied to nursy_ann's topic in Hospice, Palliative

    We always treat wounds but often the goal is merely to prevent further deterioration or distress resulting from the
  17. aimeee

    she wants to go again

    aimeee replied to mittels's topic in Hospice, Palliative

    Sounds like she is truly not ready for comfort measures only... I'm just curious...what is the family's reaction to
  18. aimeee

    Pt rights to go to the hospital

    aimeee replied to mittels's topic in Hospice, Palliative

    If the patient truly wished to go to the hospital then she can revoke her hospice benefit and go. Were you present during the examination of the patient by the on-call nurse? Did she perhaps speak...
  19. aimeee

    Death Rattle

    aimeee replied to ChicagolandRN's topic in Hospice, Palliative

    We have "comfort kits" in the home that contain hyoscyamine (levsin) tablets that can be given SL. Atropine is another
  20. aimeee

    Artifical Nutrition and Hydration

    aimeee replied to nurseshanti's topic in Hospice, Palliative

    The medical proxy should be given all the information regarding the likihood of benefit before making the decision. Unfortunately, these decisions are usually made in the hospital and they are often...
  21. aimeee

    Fibromyalgia

    aimeee replied to Dave ARNP's topic in Pain Management

    Have you encountered any evidence of SAM-e being beneficial for Fibro
  22. aimeee

    Methadone -vs- Morphine, Study Results

    aimeee replied to Dave ARNP's topic in Pain Management

    Seeing the above discussion regarding metabolites of methadone sent me searching, because although I have no personal experience with methadone, I have been very interested in it and have done a bit...
  23. aimeee

    ratio of home hospice patients to nurse

    aimeee replied to Pat the nurse's topic in Hospice, Palliative

    10-12 is about what we call a full load. 5-6 visits per day twice a week with one day for case management activities, emergency visits, and IDT meeting. Of course, much depends on what shape those...
  24. aimeee

    terminal COPD patients

    aimeee replied to obeyacts2's topic in Hospice, Palliative

    I have noticed that patients with COPD often have very exacting ways of doing things or wanting things done. If you can learn their rituals and perform them without them having to waste extra breath...
  25. aimeee

    In a pickle...

    aimeee replied to jadednurse's topic in Pain Management

    And, a counter-productive one at that, because when you wait until pain is unbearable before you give the med, then it often takes MORE total medication to bring the pain back into control than if...